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MOHAMMAD HASSAN RAZA MD
NPI 1376163667
Internal Medicine in Ada, OK

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment
430 N MONTE VISTA ST, ADA, OK 74820(580) 332-2323(580) 421-1236 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Apr 16, 2020 (2 updates tracked since 2020).

About Mohammad Hassan Raza Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMMAD HASSAN RAZA MD (NPI 1376163667) is an individual internal medicine provider in Ada, Oklahoma, licensed in Oklahoma (41094) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ada, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376163667
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOHAMMAD HASSAN RAZACredential: MD
Location Address430 N MONTE VISTA STAda, OK 74820-4610
Mailing Address430 N Monte Vista StAda, OK 74820-4610 · (580) 332-2323 · Fax (580) 421-1236
Phone(580) 332-2323
Fax(580) 421-1236
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 16, 2020
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1376163667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 41094
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
430 N MONTE VISTA ST, Ada, OK 74820
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohammad Hassan Raza Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032570254
PECOS Enrollment IDI20230803001281
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
478 services235 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
227 services214 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
223 services211 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
77 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services57 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services19 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Ada

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370020
Location430 North Monte VistaAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipPhysician
CMS Certification Number370215
Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY HOSPITAL ADA, INC
Medicare Defined Swing Bed Unit
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323
MICHELLE L PLUMMER COTA/L
Occupational Therapy Assistant
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-3349
JAMIE C KOCH MD
Anesthesiology
430 N MONTE VISTA ST, OK
ADA, OK 74820
Pontotoc County (580) 421-1160
MERCY HOSPITAL ADA, INC
Psychiatric Unit
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323
MADISON MORRIS
Physician Assistant
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323
SHANNON D KRUEGER
Registered Nurse (Diabetes Educator)
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 421-1511
MRS. KRYSTAL BROOKE SPRINGFIELD RN, CDCES
Registered Nurse (Diabetes Educator)
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 421-1228
NATHAN HARPER HARRIS MD
Emergency Medicine
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammad Raza's NPI number?

The NPI number for Mohammad Raza is 1376163667. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Mohammad Raza located?

Mohammad Raza practices at 430 N Monte Vista St, Ada, OK 74820. The listed phone number is (580) 332-2323.

What is Mohammad Raza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mohammad Raza enrolled in Medicare?

Yes. Mohammad Raza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mohammad Raza accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Mohammad Raza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mohammad Raza affiliated with any hospitals?

According to CMS data, Mohammad Raza is affiliated with Mercy Hospital Ada, O U Medical Center, Chickasaw Nation Medical Center and Oklahoma Heart Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Mohammad Raza was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.